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 Medical
Homes in Massachusetts
This page is designed to keep you informed about events
and activities happening in Massachusetts that will help improve
access to medical homes for all children and youth.
Click on a topic below to learn more about what's
going on in Massachusetts
Medical Home Initiatives
This section provides information on
state medical home initiatives/programs.
Massachusetts Medical Home Contact:
Name: Connie Carroll, Director of Care Coordination and Medical Home Initiatives
Contact: Email:
connie.carroll@state.ma.us
State Team
Roster
 "Implementation of the Patient Centered Medical Home in General Pediatric Practice" from the
Massachusetts Chapter of the American Academy of Pediatrics Patient Centered Medical Home Working Group, January 2010.
Massachusetts Statewide Medical Home Implementation
Plan -
Promise to the State 
The MA Medical Home Initiatives Steering Committee (comprised
of families, MCAAP, Consortium for CSHCN, Title V/DPH, AAP
CATCH, and the MA Chapter of Family Physicians) have written
a plan outlining specific goals for the state to achieve
a system of care in which all CSHCN have access to a medical
home by 2010.
Related Grant Initiatives
This section provides information on
current state grants that are working on medical home initiatives.
This includes the grant abstract as well as key contacts
for the grant.
Partners in the State
This section provides information on who in the state
(individuals and agencies) are working together to create
medical homes for children.
American Academy of Pediatrics (AAP) Chapter:www.mcaap.org/
American Academy of Family Physicians (AAFP) Chapter:
www.massafp.org/
Title V Block Grant to States
Title V of the Social Security Act is one of the largest
Federal block grant programs. It leads the nation in ensuring
the health of all mothers, infants, children, adolescents,
and children with special health care needs (CSHCN). Title
V is administered by the Maternal and Child Health Bureau
(MCHB) as part of the Health Resources and Services Administration,
U.S. Department of Health and Human Services.
Title V and Children with Special Health Care
Needs
MCHB Objective: Support development and
implementation of comprehensive, culturally competent,
coordinated systems of care for the estimated 18 million
U.S. children who have or are at risk for chronic physical,
developmental, behavioral or emotional conditions and
who also require health and related services of a type
or amount beyond that required by children generally.
MCH Contact:
Sally Fogerty
Director, Bureau of Family & Community Health
Address: Mass Dept of Public Health, 250 Washington St.
Boston, MA 02108
Phone: (617) 624-6090 | Fax: (617) 624-6062
Email: sally.fogerty@state.ma.us
CSHCN Contact:
Ron Benham
Dir., Div for Perinatal, Early Childhood and Special Health Needs
Address: Mass Dept of Public Health, 250 Washington St.
Boston, MA 02108
Phone: (617) 624-5901 | Fax: (617) 624-6062
Email: ron.benham@state.ma.us
Early Hearing Detection & Intervention (EHDI) Contact(s):
State EHDI programs promote universal newborn hearing screening,
develop effective tracking and follow-up as a part of the
public health system, promote appropriate and timely diagnosis
of the hearing loss, prompt enrollment in appropriate Early
Intervention, link newborns to a medical
home and strive to eliminate geographic and financial barriers
to service access.
Name: Janet M. Farrell
Contact: Phone: 617-624-5957 | Fax: 617-624-5990
E-mail: janet.farrell@state.ma.us
Early Intervention/Part C Coordinator:
The Program for Infants and Toddlers with Disabilities (Part
C of IDEA) is a federal grant program that assists states
in operating a comprehensive statewide program of early
intervention services for infants and toddlers with disabilities,
ages birth through age 2 years, and their families.
Name: Ron Benham, Part C Coordinator
and Director of EI
Contact: Phone: (617) 624-5962 | Fax:
(617) 624-5990 | AltPhone1: (617) 624-5070
Email:
ron.benham@state.ma.us
Website: www.mass.gov/dph/fch/ei.htm
Section 619/ Preschool Grants Program of the Individuals
with Disabilities Education Act (IDEA). This program
provides free appropriate public education (FAPE) for children,
ages 3 through 5 years, with disabilities:
Name: Russell Hoyt, 619 Coordinator
Contact: (781) 338-6360 (Hoyt) | Fax:
(781) 338-3370 | Email: rhoyt@doe.mass.edu
Name: Elisabeth Schaefer, Administrator
Contact: Phone: (781) 338-6357 (Schaefer)
| Fax: (781) 338-3380
Email: eschaefer@doe.mass.edu
Website: www.doe.mass.edu/els/
State Interagency Coordinating Council (ICC) Chairs:
The ICC advises appropriate agencies on the unmet needs
in early childhood special education and early intervention
programs for children with disabilities, assists in the
development and implementation of policies that constitute
a statewide system, and assists all appropriate agencies
in achieving full participation, coordination, and cooperation
for implementation of statewide system.
Name: Barbara Prindle Eaton, ICC Chair
Contact: Phone: (508) 775-6240 | Fax:
(508) 790-4774 | Email: bpeaton@cccdp.org
Resources/Documents
- Medical Home Brochure for Families: Brochure
A NEW WAY…A BETTER WAY. THE MEDICAL HOME PARTNERSHIP:
Building a Home Base for Your Child with Special Health
Care Needs
- Medical Home Brochure for Providers: Brochure
SMALL STEPS…BIG DIFFERENCES. THE MEDICAL HOME PARTNERSHIP:
Practical Tips for Physicians Caring for Children with
Special Health Care Needs
- Care Coordination Program for CSHCN: A
Resource for Parents and Providers Brochure
- Programa de Coordinación de servicios
para niños con necidades especiales médicas: Un recurso para padres y proveedores Brochure
Practicing
Comprehensive Care: A Physician's Operations Manual for
Implementing a Medical Home for CSHCN - created by the
Pediatric Alliance for Coordinated Care, the manual offers
practical advice and suggestions to support the day-to-day
operations of pediatric offices to more efficiently and
effectively serve children with special health care needs.
Transition
Planning for Adolescents with Special Health Care Needs
and Disabilities: A Guide for Health Care Providers (2000)
- The guide gives information, resources and strategies
needed by providers to support adolescents and their families
to meet the challenges of transition.
Transition
Planning for Adolescents with Special Health Care Needs
and Disabilities: Information for Families and Teens (2000)
- This booklet has been developed for families to help you
prepare with your teen for his/her adulthood.
Partnerships
For Quality - Click here for transcripts and
resources from this conference held by MA Family Voices
that brought together families and health professionals
to discuss how to improve care for CSHCN.
State Waiver Information: www.cms.hhs.gov/MedicaidStWaivProgDemoPGI/08_WavMap.asp
Waivers are the result of a process that allows state Medicaid
agencies to apply for and receive permission from HCFA to
provide services not otherwise covered by Medicaid and/or
to do so in ways not described by the Social Security Act.
Most Medicaid managed care programs require Waivers. The
Waivers, which can differ greatly, are known by their numbers
(1115, 1119), or as home-and community-based, or as Katie
Beckett Waivers.
Educational Initiatives
This section provides information
on training initiatives on the medical home. Some states
will discuss their outreach projects in relation to physicians,
families, and the community.
The Medical Home Network Project: www.neserve.org/neserve/wwd_med_hm.html
This educational program of New England SERVE brings together
primary care providers, parents and community partners to
demystify the theory and practice of the Medical Home. Its
case-based curriculum offers knowledge, awareness, and strategies
for implementing small practice improvements. Sessions include:
- Introduction to Medical Home, CSHCN, Family Centered
Care
- Community Resources and Care Coordination
- Medical Home Index and Practice Change
These two-hour sessions carry continuing medical education
(CME) approval.This project is ongoing.
Screening
Initiatives
This section provides information on surveillance
and screening initiatives in the state.
State Newborn Screening & Genetics Programs:
genes-r-us.uthscsa.edu/resources.htm
- State Newborn Screening
Program Links
- State Genetics Program
Links
- Regional Genetics and
Newborn Screening
Collaborative Links
- Newborn Screening
State Contact Fact
Sheet
State Resources on the Internet
Note: The information provided on the state pages was submitted
by the state medical home teams.As this is not an exhaustive
list, please let us know if you have additions for your
state resource page. You can contact us at: medical
home@aap.org.
Last Updated
January 15, 2010
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